<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412019000700003</article-id>
<article-id pub-id-type="doi">10.24245/gom.v87i7.2834</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de la mortalidad materna temprana en Bogotá. Estudio de vigilancia epidemiológica de casos centinela]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of maternal mortality in Bogotá. Study of cases based on sentinel surveillance]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vélez-Maya]]></surname>
<given-names><![CDATA[María Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grillo-Ardila]]></surname>
<given-names><![CDATA[Carlos Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Higuera-R]]></surname>
<given-names><![CDATA[Ingrid Luciana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Molano]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Colombia Departamento de Obstetricia y Ginecología ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital San José  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>87</volume>
<numero>7</numero>
<fpage>425</fpage>
<lpage>435</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412019000700003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412019000700003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412019000700003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO:  Analizar el perfil epidemiológico y la tendencia de las muertes maternas tempranas de mujeres residentes en Bogotá durante los trienios 2010-2012 y 2013-2015.  MATERIALES Y MÉTODOS:  Estudio observacional, retrospectivo, transversal y analítico efectuado con base en la vigilancia epidemiológica de casos centinela. Criterio de inclusión: mujeres residentes en Bogotá, Colombia, fallecidas por causas directas o indirectas. Criterio de exclusión: muertes tardías. Las muertes maternas se identificaron mediante la revisión de la base de nacimientos y defunciones del Departamento Administrativo Nacional de Estadística y de los reportes del Instituto Nacional de Salud. Se registraron las variables clínicas y sociodemográficas maternas, causas agrupadas y especi&#769;ficas de muerte. Se realizo&#769; estadística descriptiva para las variables analizadas y la significación estadística se evaluó con distribución de Poisson.  RESULTADOS:  Se incluyeron 225 muertes maternas tempranas y 630,017 nacidos vivos. La mortalidad materna temprana disminuyó de 39 a 32 por cada 100,000 nacidos vivos. La mayor reducción se registró en mujeres de 10 a 19 y en mayores de 40 años. La mortalidad materna por causas indirectas disminuyó y, en menor medida, para los trastornos hipertensivos, hemorragia y embarazo que termina en aborto. No obstante, aumentaron las infecciones relacionadas con el embarazo y los suicidios.  CONCLUSIONES:  Bogotá se encuentra en un periodo de transición obstétrica. Sobresale la reducción en la mortalidad materna temprana y la caída en las causas indirectas. Debe prestarse atención al ascenso en las muertes como consecuencia de lesiones autoinfligidas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE:  To analyze the epidemiological profile and trends of maternal deaths of women living in Bogotá during the 2010-2012 and 2013-2015 triennia.  MATERIALS AND METHODS: Retrospective, cross-sectional and descriptive observational study based on epidemiological surveillance of sentinel cases. Women residing in Bogotá who died of direct or indirect causes were included. Late deaths were excluded. Maternal deaths were identified through a review of the birth and death database of the National Administrative Department of Statistics and the reports of the National Health Institute. Clinical and sociodemographic maternal variables grouped, and specific causes of death were recorded. A descriptive statistic was performed for the variables analyzed and statistical significance of trends was evaluated using Poisson distribution.  RESULTS:  225 early maternal deaths and 630,017 live births were included. Early maternal mortality decreased from 39 to 32 per 100,000 live births. For the most part, the reduction occurred in women between 10 and 19 years old and in those over 40 years old. Maternal mortality due to indirect causes decreased and to a lesser extent, for hypertensive disorders, hemorrhage and pregnancy that ends in abortion. However, it increased for infections related to pregnancy and suicides.  CONCLUSIONS:  Bogotá is in a period of obstetric transition. The reduction in early maternal mortality and the fall in indirect causes stand out. Attention should be paid to the rise in deaths as a consequence of self-inflicted injuries.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[muerte materna]]></kwd>
<kwd lng="es"><![CDATA[mortalidad materna]]></kwd>
<kwd lng="es"><![CDATA[nacimiento]]></kwd>
<kwd lng="es"><![CDATA[muerte]]></kwd>
<kwd lng="es"><![CDATA[causas de muerte]]></kwd>
<kwd lng="es"><![CDATA[distribución de Poisson]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Maternal death]]></kwd>
<kwd lng="en"><![CDATA[Maternal mortality]]></kwd>
<kwd lng="en"><![CDATA[Birth]]></kwd>
<kwd lng="en"><![CDATA[Death]]></kwd>
<kwd lng="en"><![CDATA[Causes of death]]></kwd>
<kwd lng="en"><![CDATA[Poisson distribution]]></kwd>
</kwd-group>
</article-meta>
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